Aggregation of behavioral risk factors to noncommunicable chronic diseases: A national school-based study with Brazilian adolescents.

Autor: Pinto TJP; National School of Public Health, Oswaldo Cruz Foundation, Rua Leopoldo Bulhões, 1480 - Manguinhos, Rio de Janeiro, RJ 21041-210, Brazil. Electronic address: thatiana.pinto@gmail.com., Mendonça EP; National School of Public Health, Oswaldo Cruz Foundation, Rua Leopoldo Bulhões, 1480 - Manguinhos, Rio de Janeiro, RJ 21041-210, Brazil., Bloch KV; Institute of Public Health Studies, Federal University of Rio de Janeiro, Avenida Horacio Macedo, w/o number, Cidade Universitária - Ilha do Fundão, Rio de Janeiro, RJ 21044-020, Brazil. Electronic address: kbloch@iesc.ufrj.br., Cunha GM; National School of Public Health, Oswaldo Cruz Foundation, Rua Leopoldo Bulhões, 1480 - Manguinhos, Rio de Janeiro, RJ 21041-210, Brazil., Coutinho ESF; National School of Public Health, Oswaldo Cruz Foundation, Rua Leopoldo Bulhões, 1480 - Manguinhos, Rio de Janeiro, RJ 21041-210, Brazil; Institute of Social Medicine, State University of Rio de Janeiro, Rua São Francisco Xavier 524, Rio de Janeiro 20550-900, Brazil.
Jazyk: angličtina
Zdroj: Preventive medicine [Prev Med] 2020 Aug; Vol. 137, pp. 106128. Date of Electronic Publication: 2020 May 08.
DOI: 10.1016/j.ypmed.2020.106128
Abstrakt: There is an increasing interest in the study of the aggregation of risk factors for noncommunicable chronic diseases. However, there are no studies among adolescents stratified by alcohol use. This study investigated the aggregation of cardiovascular risk factors in adolescents considering the use or not of alcohol. A total of 73,624 Brazilian adolescents aged 12-17 years from public and private schools were evaluated in a national cross-sectional study (March-2013 to December-2014). The aggregation of cardiovascular risk factors was the main outcome. The regression model was adjusted for sex, age, region of Brazil, and school type. Most alcohol users were 16 to 17 years old, while nonusers were between 12 and 13 years. Alcohol users showed a higher prevalence of smoking (8.1% vs. 0.8%) and sleep inadequacy (59.9% vs. 51.4%) than nonusers did. On the other hand, a sufficient level of physical activity was more frequent among alcohol users (51.2% vs. 44.2%). The presence of only one cardiovascular risk factor was more frequent in nonusers (42.3%) than alcohol users (38.9%). Alcohol users tended to aggregate more for the category of 3-4 cardiovascular risk factors when compared with the non-alcohol-using population (10.9% vs. 7.9%). Aggregation of three cardiovascular risk factors was more likely to be observed among male adolescent alcohol users. Inadequate sleep and smoking habit tended to aggregate among alcohol users. This finding highlights the importance of public policies aiming to reduce alcohol consumption at early ages and, consequently, to decrease the risk of future morbimortality of noncommunicable chronic diseases.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: